MEDICARE: JACKSON VINCENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1912646506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACKSON VINCENT

Provider Business Mailing Address
First Line	:	154 JULIAN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-1432
Country	:	US
Telephone Number	:	720-252-3296
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 S COLORADO BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3305
Country	:	US
Telephone Number	:	303-867-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	01/11/2026

Similar Medicare Providers

1780894972 — MARIA DROSTE SERVICES OF COLORADO, INC.
Practice Location Address:

1355 S COLORADO BLVD , SUITE C-100
DENVER, CO
80222-3305

Practice Phone: 303-756-8052
Practice Fax: 303-756-0308

1679575740 — DR. RUSSELL LYNN CASEMENT DDS
Practice Location Address:

1355 S COLORADO BLVD , BLDG C
DENVER, CO
80222-3305

Practice Phone: 303-758-0866
Practice Fax: 303-758-3657

1477519627 — MS. LINDA M SORAN L.P.C.
Practice Location Address:

1355 S COLORADO BLVD , SUITE C 100
DENVER, CO
80222-3305

Practice Phone: 303-756-9052
Practice Fax: 303-756-0308

1215964564 — BAYADA HOME HEALTH CARE, INC.
Practice Location Address:

1355 S COLORADO BLVD , BUILDING C, SUITE 404
DENVER, CO
80222-3305

Practice Phone: 303-333-2900
Practice Fax: 303-329-3215

1275628695 — JUDITH H DEWIT LCSW
Practice Location Address:

1355 S COLORADO BLVD , SUITE 322
DENVER, CO
80222-3305

Practice Phone: 303-757-3140
Practice Fax:

1912073982 — MRS. LORRAINE ELIETTE LIPSON M.ED
Practice Location Address:

1355 S COLORADO BLVD , C100
DENVER, CO
80222-3305

Practice Phone: 303-756-9052
Practice Fax:

Directions to “ JACKSON VINCENT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.